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Northern Nevada Sierra Medical Center (Reno, NV) closed their inpatient pediatric unit for infants and children on June 1. This follows the 2022 decision by St Mary’s Medical Center (also in Reno) to close their 24-bed Neonatal Intensive Care Unit (NICU) and 18-bed pediatric floor in addition to eliminating maternity and birthing services. Why Are Hospitals Closing Pediatric Units? “Across the nation, pediatric units are being shuttered in favor of more lucrative units for adult care,” writes Brenna Miller, a Health Communications Specialist at the Lown Institute in her blog, Pediatrics and Profits: Why children’s hospital units are closing (Dec. 2022). “Why is pediatrics a drain on hospital finances? One reason is reimbursement. Medicaid, the state-run health insurance program for low-income patients, covers more than one third of children in the US, and Medicaid reimbursement rates are typically lower than those from other insurers.” The New York Times also reported a nationwide wave of hospitals shutting down their pediatric units in favor of more profitable adult units. “Adult beds are more lucrative than children’s beds. So as institutions look to boost profit margins, pediatrics is often among the first services to be cut,” said Emily Baumgaertner, Oct. 11, 2022. “The decline of local access to children’s inpatient care began over a decade ago and accelerated during the pandemic. Between 2008 and 2018 — the most recent national data available — pediatric inpatient units in the United States decreased almost 20 percent, and nearly a quarter of children found themselves farther from their nearest pediatric unit.” Northern Nevada Health System and St. Mary’s Medical Center are owned by for-profit investor companies, Universal Health Services, Inc., and Prime Healthcare. Renown Children’s is Here for You and Your Child “Renown is focused on meeting the community’s need for essential services, offering peace of mind knowing that any time, day or night, kids can get sick, and when they do, we are here to care for them, says Brian Erling, MD, MBA, president & CEO, Renown Health. “Renown is owned by our community, not by stockholders or private investors. We are a charitable, not-for-profit organization supported by grateful patients and donors. We are proud that 100% of our earnings are reinvested in programs, people, and equipment to improve the health of our community. We are investing in high quality health care for children; recruiting and training the next generation of physicians, nurses, and clinicians; and enhancing the quality of life for generations to come.” “At Renown Children’s, we offer a full range of pediatric services- both inpatient and outpatient,” says Kristina Deeter, MD, MBA, FAAP, Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital. “Our hospital services include a Level II Pediatric Trauma Center, Children’s Emergency Room (open 24/7), Pediatric ICU (PICU), children’s imaging center and a Level III neonatal ICU (NICU) within Renown Regional Medical Center. We also have a team of dedicated pediatricians who specialize in caring for children from birth to young adulthood. This includes preventative care such as annual checkups, immunizations, developmental screenings, and nutrition and physical activity counseling. Whether you're a new parent or an experienced caregiver, we're here to support you and your child every step of the way.” In addition to providing comprehensive OB/GYN and birthing services, Renown Health has invested in and expanded their team of dedicated pediatricians and support staff to ensure your child receives the best care possible in the highest quality facilities. New Neonatal Intensive Care Unit The Wilbur D. May Neonatal Intensive Care Unit (NICU) is located on the fifth floor of the Tahoe Tower at Renown Regional Medical Center. This special floor was designed to provide advanced care for 49 premature babies and newborns. As the only level III NICU in the region, Renown’s team of neonatologists, nurses, and specialists provides around-the-clock care for premature and sick infants, ensuring the highest standard of care.   New Pediatric Intensive Care Unit The Pediatric Intensive Care Unit (PICU) at the Children's Hospital provides specialized care for critically ill patients ranging from newborns to young adults, primarily those under eighteen. These team cares for a variety of conditions, including respiratory issues, infections, genetic and metabolic disorders, traumas, accidents, and post-surgical recovery. A dedicated team of pediatric intensivists, nurses, respiratory therapists, pharmacists, dietitians, and other professionals ensure that our most fragile children receive the attention and compassionate care they deserve. Pediatrics Specialties & Services  Over 50 Pediatricians and Pediatric Clinicians provide care in the following areas. Appointments can be scheduled via MyChart or by calling Renown at 775-982-5437.  Adolescent Medicine Child Life Program Children's Fractures Children's Hand Treatments Clubfoot & Foot Disorders Hip Disorders Limb Deformity Neuromuscular Diseases & Syndromes Pediatric Behavioral Health Pediatric Cardiology Pediatric Care Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology Pediatric Hospital Medicine Pediatric Intensive Care Unit (PICU) Pediatric Nephrology Pediatric Neurology Pediatric Ophthalmology Pediatric Orthopedics Pediatric Pulmonology Pediatric Sedation Services Pediatric Sports Medicine Pediatric Surgery Pediatric Urology Safe Kids Washoe County Scoliosis Neonatal Intensive Care Unit (NICU) Renown Children’s Hospital is supported by grateful patients and donors. Secure a brighter future for local children by donating to the Renown Health Foundation at 775-982-5545 or at renown.org/About/Renown-Health-Foundation.     About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health.

Read More About As Second Northern NV Hospital Closes Pediatrics Unit, Renown Children’s Hospital Expands to Meet Community Need for Essential Services

The Open Enrollment period begins Nov. 1 and runs through Nov. 30 Nevada’s largest locally owned, not-for-profit health insurance company, Hometown Health, is excited to announce the beginning of the open enrollment period starting Nov. 1 and running until Nov. 30. Individual and Family Plans (IFP) are available in Washoe, Douglas, Lyon and Storey Counties as well as Carson City. This expanded network increases healthcare access for thousands of Nevadans, including those in both our urban and rural communities. For 2023, Nevadans can continue to find affordable health insurance plans that fit their needs and budget through the Nevada Health Link, a website created by the Silver State Health Insurance Exchange. Nevada Health Link is an insurance resource that connects individuals to a variety of insurance plans from different health insurance companies, including Hometown Health. Certain individuals and plans may also qualify for federal tax credits and subsidies to help cover the cost of insurance. Renown Health is Nevada‘s largest provider network and members of Hometown Health can enjoy access to a wide variety of patient resources and top-rated providers. “Health insurance is vital to peace of mind, providing individuals and families with the tools they need to take charge of their health,” said Bethany Sexton, MBA, CEO at Hometown Health. “New and existing members can rest assured that they have a partner in their health and the best care options when they choose Hometown Health due to Renown’s thoughtful and innovative growth in our communities.” The facilities enhancement project is one example of the amplified care available at Renown Health. Renown South Meadows Medical Center will be the home of a new 121,000 gross square foot, three-story Specialty Care Center which will showcase the latest technology, enhance patient safety and improve the hospital experience. The team at Renown Regional Medical Center is also nearing completion on two new floors in the Tahoe Tower which will include a new state-of-the-art Neonatal Intensive Care Unit, Pediatric Intensive Care Unit and a Surgical Trauma Intensive Care Unit. More information on Renown’s larger facilities enhancement projects can be found at renown.org/ExpandingCare. IFP plans also include many convenient and cost-saving benefits including access to Renown Primary Care physicians for yearly health screenings and tests; Health Savings Account options to pay for eligible healthcare, dental or vision expenses; easy to navigate access to health information in one place through MyChart; local customer service representatives available to answer your healthcare benefit questions and convenient Renown Pharmacy locations. Derek Beenfeldt, MD, Chief Medical Officer at Hometown Health, stresses the importance of choosing a health insurance plan that provides on-demand, accessible care options. “When you or your family members are sick, the last thing you want to worry about is your insurance coverage. You want to know you are getting the best care possible and you want to trust that care will be in network. Access to Renown’s care, coordinated by Hometown Health, ensures our members receive the exceptional care – delivering the right care at the right time” said Dr. Beenfeldt. Hometown Health members also enjoy access to 24/7 virtual visits through Teladoc, in home care through Dispatch Health and various Renown Urgent Care locations. For details about Hometown Health® benefits or the open enrollment period, visit HometownHealth.com or call 775-982-3232. About Hometown Health Established in 1988, Hometown Health is northern Nevada’s only locally-owned, not-for-profit health insurance company. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. Hometown Health values prevention as a key component of comprehensive care - reducing the risks of illness and helping to treat small problems before they can become more severe. Hometown Health offers a number of insurance products including HMO, PPO, HSA, Dental, Vision, Individual and Family and Senior Care Plus, northern Nevada’s first Medicare Advantage Plan. For more information, call 775-982-3000 or visit hometownhealth.com. About Renown Health Renown Health is Nevada’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.

Read More About Open Enrollment Set to Begin Nov. 1 – Renown’s Hometown Health to Offer Convenient Local Care Options

Becker’s annual list of Chief Nursing Officers to Know list for 2023 has been published, recognizing professional nurse healthcare leaders across the country. Melodie Osborn, MBA, BSN, RN, NEA-BC of Renown Health, Reno’s only not-for-profit, charitable health care organization, is one of the 153 professional nursing leaders nationally to be listed, and one of two from Nevada. “These leaders bring a unique blend of clinical and leadership experience to their roles. These nursing healthcare leaders have navigated their hospitals and health systems through the COVID-19 pandemic, and are now addressing staffing shortages, managing labor budgets, and creating professional pathways for the next generation of nurses,” Becker’s stated. In their announcement, Becker’s highlighted that Melodie Osborn, MBA, BSN, RN Chief Nurse Executive for Renown Health (Reno, Nev.), oversees nursing and seamless care across Nevada’s largest not-for-profit integrated delivery system. In 2023, she worked with donors and University of Nevada, Reno, to create an academic pipeline to address the nursing shortage via full-ride scholarship funding for up to 24 nursing students each year. Scholarship recipients may also complete a paid apprenticeship at Renown with a guaranteed hospital job following graduation and licensure. In 2020, Ms. Osborn volunteered to lead Renown’s COVID-19 vaccine effort and helped personally vaccinate over 50,000 community members. She is past president of Nevada Organization for Nurse Leaders. Under her leadership, Renown’s ICUs are three-time AACN Beacon Award winners for demonstrating excellence in patient care, healthy work environment and ongoing and evidence-based care.” “We are so pleased that Melodie has been nationally recognized for her stellar leadership, said Brian Erling, MD, MBA, President & CEO for Renown Health. “Over the last twelve years, she has built high-performing teams and created a supportive environment that enhances patient-centered care. Melodie has an incredible work ethic, strong principles and has worked to achieve a consistently high standard of nursing practice across Renown Health. Melodie takes her responsibility as the executive nursing voice for more than 2,700 nurses very seriously. Her dedication to improving health and care has inspired teams to work together to achieve significant results that have benefited many. Melodie is the definition of a dedicated and committed leader and is well deserving of this recognition. We are very proud of her accomplishments and thank her for her exceptional leadership.” Melodie Osborn is a member of the executive leadership team at Renown Health. Renown Health earned Forbes' Best Healthcare Employer in Nevada for combatting burnout and ensuring well-being and safety of caregivers. Renown Health is hiring exceptional nurses and offers a culture of dignity and respect with opportunities for flexibility and growth. As a national health leader, Renown provides access to state-of-the-art technologies, advanced facilities, and integrated patient systems. For more information, visit renown.org/careers.

Read More About Reno Home to CNO to Know: Chief Nurse Executive Melodie Osborn, Named to Becker’s National List

Burning Man is an annual event inspired by the values reflected in the Ten Principles and united in the pursuit of a more creative and connected existence in the world. As over 50,000 congregate this week, between Aug. 27 to Sept. 4, in the high altitudes of the hot and windy Black Rock Desert, Renown Health’s emergency and clinical care teams are ready to care for Burners who may find themselves ill and in need of additional urgent, emergent care or hospitalization. This year, people from across the world are expected to make the journey in RVs and cars brimming with tents, food, water, artwork, and costumes, temporarily turning Black Rock into the state’s third largest city. “The Burning Man Project has done an excellent job preparing participants to have a safe, healthy, and wonderful time building Black Rock City and living on the playa for nine days to nurture the distinctive culture emerging from that experience. However, bringing over 50,000 people together in a high altitude, desert environment with limited access to water, food, and sanitary conditions- always presents a challenge,” says Brian Erling, MD, MBA, president and CEO of Renown Health and an experienced emergency medicine physician. “Having excellent care on the playa and plans in place back here in Reno helps to mitigate that risk and ensure the health and safety of all participants.” “We welcome every Burner to northern Nevada,” says Bret Frey, MD, the board-certified emergency medicine physician who heads up the largest Emergency Department at Renown Regional Medical Center; which has the highest-level trauma center for 100,000 miles, located in Reno, NV. Dr. Frey has 23 years of experience in the medical field, and 23 years of experience treating people who have experienced Burning Man. “Burning Man is a fascinating event, and most people have a great time. However, if things go wrong, they are fortunate to have the BlackRock City Emergency Services Department, 24/7, to help. Back here in Reno, we serve as their ‘back up,’ providing care as needed, for the ill and injured and supporting clinical teams when they’re feeling overwhelmed.” Renown Health is home to three 24/7 Emergency Rooms that provide the highest level of emergency and trauma care in the region: Renown Regional Medical Center is the only Level II Trauma Center between Sacramento and Salt Lake City. Located near downtown Reno, this Emergency Room has several helipads and ambulance banks for patients requiring emergency and trauma care. Renown Children’s Hospital at Renown Regional Medical Center is home to the only Pediatric Emergency Roo in the region designed just for kids. This location is staffed by pediatric specialists and provides child-sized equipment and family-friendly areas. Renown South Meadows Medical Center includes South Reno’s first 24/7 Emergency Room. Located just off I-580, this location is designed to treat patients who need immediate attention for emergencies.  These locations are designed to assess and care for emergency situations, including: Heart attack symptoms Stroke symptoms Broken bones Shortness of breath Seizures Severe bleeding Head injuries Chest pains Severe pain Venomous stings and bite All of Renown’s emergency rooms are staffed by Northern Nevada Emergency Physicians, including pediatric specialists and physicians who have completed fellowship training in specialty areas such as sports medicine, ultrasound and emergency medical services. A few interesting medical conditions (Playa Foot and Playa Lung), are associated with Burning Man. The Black Rock Desert in northwestern Nevada is part of the lakebed of the ancient Lake Lahontan, a deep lake that existed 15,000 years ago. Lake Lahontan left fine sediments on the lake bottom to form the extremely flat surface. Playa dust is made of both larger and smaller particulate matter. The Playa dust is in the air, on the ground, and on everything in Black Rock City. People combat the dust with masks, bandannas, and colorful respirators to keep the chalky dust out of their mouths and nostrils, but the effort is often futile. Playa Foot is a malady unique to the Black Rock Desert caused by the alkali dust that makes up the desert. It is, in essence, a chemical burn. The best prevention is keeping feet covered as much as possible, applying a moisturizing skin lotion before bed and wearing socks and closed shoes each day on the playa. “Playa Lung, where the particulate is breathed into the lungs, may cause coughing, throat pain and loss of voice in the short-term,” says William Graham, MD, a specialist in Pulmonary Medicine and Critical Care Medicine at Renown Health. “The dust can cause health issues for smokers, children and elderly and people with pre-existing conditions like asthma and COPD. The best prevention is to get a mask that’s comfortable with n99 filters, wear the mask as much as possible and change the filters often. Be sure to drink lots of water and take protection from windstorms. A doctor visit is recommended if any effects of breathing in dust persist beyond a week or two.” Dr. Derek Beenfeldt is the Chief Medical Officer for Renown’s not-for-profit insurance arm Hometown Health and has been a frequent participant in the Burning Man experience over the years. In the interest of wanting every person to have a wonderful experience while here- especially since over half of the participants live outside the U.S. health care system, he reminds people of the number of free and low-cost on-site health care and testing resources provided on the playa at Black Rock City. “It is important for Burning Man participants to know that without US health care insurance coverage, the costs can be significant for transportation off the playa for a medical evacuation, hospital emergency department care or hospitalization. Even for people who have insurance, in the past, some have faced some significant out-of-pocket expenses for the flight or transportation to Reno-area hospitals or emergency departments.” He shares the following information; On Site Medical Response A community of EMTs, paramedics, nurses, medical students, and physicians are on site at Black Rock City in RVs to provide emergency response and urgent care to participants as needed. Local Hospital Response Since 2011, the Burning Man organization, has contracted with Humboldt General Hospital in Winnemucca, Nev., to staff and equip Rampart Urgent Care, a field hospital that offers X-rays, ultrasounds, a hand-held head scanner, lab tests and a pharmacy. The single-room wooden structure is easily seen- it is painted pink and yellow. The hospital’s 40 beds are located in adjoining tents. At Rampart, when possible, patients are treated on site. EMTs, medics and nurses are empowered to practice medicine to the fullest ability their licensing and credentialing allow. Patients are not charged for Rampart Urgent Care services, which is covered as part of their ticket fee. The Nevada State Health Division, Bureau of Health Protection Services is also on the playa. You will know them by the Nevada State Health Division logo on their shirts. All Renown’s physicians remind people that if they are experiencing symptoms of a heart attack or stroke, they should go to the closest emergency room (ER) to get needed medical care. Delaying care for a medical emergency, such as a heart attack or stroke, can be life threatening or lead to serious complications. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.

Read More About As 50,000+ People Congregate for Burning Man, 100 Miles Northeast of Reno, Renown Health’s Emergency Teams and Hospitals Prepare to Serve